| Organization Name: | WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT |
| NPI Number: | 1124197017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM JAMES PRIDGEN (NCOIC LPN WAEDMASTER) |
| Mailing Address: | 4th St Innerloop Usa Meddac Fort Irwin |
| State: | CA US |
| Postal Code: | 923105109 |
| Phone Number: | 7603803144 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | LP00045663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |